Hypernatremia due to amniotic fluid embolism during a saline-induced abortion

A case of fatal amniotic fluid embolism leading to hypernatremia during a hypertonic saline-induced abortion is reported. This sequence of events has not, to our knowledge, been previously reported. Hypernatremia as a diagnostic aid for amniotic fluid embolism is discussed.     

India's experience—national,community, public or private health?

India, as the largest democracy, second most populous country, ninth largest industrial power and fifteenth poorest nation, has in respect of health care to be considered as a special case among developing countries. Nevertheless, the identification in India, as an alternative to national welfare provision, of opportunities for returning social and economic responsibilities for health care to local communities is important for both developing and developed countries. This article outlines and comments upon recent developments in providing primary health care in rural communities in India. It concludes by examining possible parallels between self-sustaining community health schemes and the search in developed countries for community and personal involvement so as to overcome emergent limitations of professionalized and welfare systems of care.     

REGULATORY ENFORCEMENT: An Economic Study of the British Factory Inspectorate

The British Factory Inspectorate is the body responsible for enforcing occupational health and safety legislation in the manufacturing industries. The concept of economic efficiency is used to link the compartmentalized disciplines involved in regulation. Many enforcement practices in social regulation can be seen as attempts to minimize social costs of disobeying regulations subject to institutional, political, and budgetary constraints.